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CAROLINE LYNN SOON STARK MSW, LICSW
NPI 1043825946
Social Worker - Clinical in Saint Paul, MN

Active since September 09, 2020PECOS Enrolled
2303 WYCLIFF ST STE W210, SAINT PAUL, MN 55114(612) 424-0434(877) 905-7069 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caroline Lynn Soon Stark Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE LYNN SOON STARK MSW, LICSW (NPI 1043825946) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (26684) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043825946
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLINE LYNN SOON STARKCredential: MSW, LICSW
Location Address2303 WYCLIFF ST STE W210Saint Paul, MN 55114-1272
Mailing Address2303 Wycliff St Ste W210Saint Paul, MN 55114-1272 · (612) 424-0434 · Fax (877) 905-7069
Phone(612) 424-0434
Fax(877) 905-7069
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 9, 2020
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1043825946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 26684
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2303 WYCLIFF ST STE W210, Saint Paul, MN 55114
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11001 Highway 7 Ste 309Hopkins, MN 55305-4737 · Phone (952) 426-6601 · Fax (952) 938-4708
Location 26425 Nicollet AveRichfield, MN 55423-1675 · Phone (612) 861-1675 · Fax (612) 861-3446
Location 35910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322 · Phone (763) 569-5200 · Fax (763) 569-5201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Lynn Soon Stark Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385082049
PECOS Enrollment IDI20240401003032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE RUTHERFORD MCDONNELL LMFT
Marriage & Family Therapist
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434
DINA ABEDAZIZ ERICKSON MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434
SUSAN LEE BORDEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434
KELLY JEAN GROSSMAN CNP
Nurse Practitioner (Psychiatric/Mental Health)
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434
SUSAN BORDEN PSYCH
Nurse Practitioner (Psychiatric/Mental Health)
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434
RACHAEL WEMEIER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114
Ramsey County (612) 424-0434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Stark's NPI number?

The NPI number for Caroline Stark is 1043825946. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Caroline Stark located?

Caroline Stark practices at 2303 Wycliff St Ste W210, Saint Paul, MN 55114. The listed phone number is (612) 424-0434.

What is Caroline Stark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Caroline Stark enrolled in Medicare?

Yes. Caroline Stark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Stark was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.